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Designing healthcare transportation for the elderly: an empirical study. 老年人医疗交通设计:实证研究。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_12
R J Baran, S S Chhabra, B I Newman

The growing elderly market in the United States has spawned a number of studies examining different aspects of the elderly market such as their expenditure patterns, healthcare needs, attitudinal types, etc. One of the least studied areas in this field is the transportation of the elderly to their primary health care facilities. This study was undertaken to assess the likelihood of adoption by the elderly of two proposed transportation alternatives by a hospital in a major metropolitan area: a shuttle service and an escort service. The receptivity to the proposed new service was hypothesized to differ across age subsegments among the elderly. Five-hundred and fifty-three elderly, selected at random, were studied in telephone interviews. The results show that the escort service was received more favorably than the shuttle service and the 75+ age group was the most receptive to the two services. The 71-75 age group appeared to be the least receptive to the proposed services.

美国不断增长的老年市场催生了许多研究,研究老年市场的不同方面,如他们的支出模式、医疗保健需求、态度类型等。这一领域研究最少的领域之一是老年人前往初级保健设施的交通问题。进行这项研究是为了评估大城市地区一家医院提出的老年人采用两种交通方式的可能性:班车服务和陪护服务。对提议的新服务的接受程度被假设为不同年龄的老年人。随机挑选的553名老年人通过电话采访进行了研究。结果表明,陪护服务比接送服务更受欢迎,75岁以上人群对这两种服务的接受程度最高。71-75岁的人群似乎最不愿意接受拟议中的服务。
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引用次数: 0
Healthcare: considerations for changing practice. 医疗保健:改变实践的考虑因素。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_07
A Bushy

Changes are rampant in the healthcare industry. Some are economically driven while others occur because of revisions in the national health policy, mandates of third party payors to alter reimbursement policies, and efforts of consumers to influence health professional's practices. As a result, healthcare institutions must monitor the quality and the cost effectiveness of their product. Yet, implementing a Quality Assurance (QA) program necessitates numerous changes on the part of all who work within an institution. A healthcare organization's leaders must have the ability to respond rapidly to the domino effects of change. For some institutions, this may mean modifying a long-standing infrastructure, purchasing new biotechnology, reorganizing staffing patterns, or revising management practices. Hence, it is important for health care providers to understand the change process. Likewise, health professionals should be aware of, and anticipate the potential responses to change. Because humans are motivated by different forces, there is need for a repertoire of strategies to address these individual needs. Ultimately, these efforts can facilitate the implementation of change. Overview of the Content: In this submission I will define common terms associated with change theory. This is followed by an overview of Lewin's and Rogers' theories of change. Subsequently, the models are applied to a household innovation (microwave oven). Finally, strategies to implement changes, specifically QA activities, are provided for the reader's consideration. The information herein is useful for management, education, as well as hypothesis development relative to research on change in healthcare.

医疗保健行业的变化十分猖獗。一些是经济驱动的,而另一些则是由于国家卫生政策的修订、第三方付款人要求改变报销政策以及消费者努力影响卫生专业人员的做法。因此,医疗保健机构必须监控其产品的质量和成本效益。然而,实施质量保证(QA)计划需要对机构内所有工作人员进行大量更改。医疗保健组织的领导者必须有能力对变化带来的多米诺骨牌效应做出快速反应。对一些机构来说,这可能意味着修改长期存在的基础设施,购买新的生物技术,重组人员配置模式,或修改管理实践。因此,卫生保健提供者了解变化过程是很重要的。同样,卫生专业人员应该意识到并预测对变化的潜在反应。由于人类受到不同力量的激励,因此需要一系列策略来满足这些个体需求。最终,这些努力可以促进变革的实施。内容概述:在本文中,我将定义与变革理论相关的常用术语。接下来是对Lewin和Rogers的变化理论的概述。随后,将模型应用于家用创新产品(微波炉)。最后,提供了实现变更的策略,特别是QA活动,供读者考虑。这里的信息对管理、教育以及与医疗保健变化研究相关的假设发展都很有用。
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引用次数: 1
Developing a successful senior care program: a research based approach. 开发一个成功的老年护理项目:基于研究的方法。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_15
T J Hayes, M Ruwe

Shifting environmental pressures have moved healthcare organizations to look to new products and services as a means of survival. One new product offering that has developed in many hospitals is the senior care program. Unfortunately, many of the senior care programs developed across the nation have not been successful. The authors have described a senior care program that is research based and physician centered. The benefits of which include physician loyalty to the hospital, a managed referral network and the ability to measure the impact of the senior care program on the bottom line.

不断变化的环境压力促使医疗保健组织将新产品和服务作为生存手段。许多医院提供的一种新产品是老年人护理项目。不幸的是,全国各地发展的许多老年人护理项目都没有成功。作者描述了一个基于研究和以医生为中心的高级护理项目。这样做的好处包括医生对医院的忠诚,一个管理的转诊网络,以及衡量老年护理项目对底线影响的能力。
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引用次数: 0
Consumer self treatment with over the counter medication: emerging attitudes in a professional arena. 消费者自我治疗与非处方药物:新兴的态度在一个专业领域。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_05
D W Finn, S J Grove, T Reisenwitz
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引用次数: 0
A comparison of health care offerings as perceived by employers. 雇主认为的医疗保健服务的比较。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_08
N Nugent, L J Zivic, P Marsh

This empirical study examines the health care coverage climate of 130 large and medium sized companies in New England. Human resource managers and/or benefits managers were asked to compare the plans that they currently offer their employees on a number of points. The primary focus was in the area of cost and cost containment. An attempt is made to identify the cost containment trends that are now a very high priority among employers.

本实证研究考察了新英格兰地区130家大中型企业的医疗保险覆盖环境。人力资源经理和/或福利经理被要求比较他们目前为员工提供的计划。主要的重点是在成本和成本控制领域。试图确定成本控制趋势,这是目前雇主非常优先考虑的问题。
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引用次数: 0
The decision process for retirement center development: is market research being used effectively? 养老中心发展的决策过程:市场调查是否得到有效利用?
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_14
T Gillpatrick, E Grubb

This paper examines the role of market research in the decision process used to invest in continuing care retirement centers (CCRCs). Given changing demographics and the availability of financing, there has been a rapid increase in the number of CCRCs that are being developed. However, a large number of these centers have either failed or are experiencing financial difficulty. Some industry participants have blamed poor or inadequate market research as a factor contributing to the failure of many centers to meet expectations. This paper discusses how the process used to invest in centers and how the motivations of the different actors in the investment decision can influence the role and use of market research. Recommendations are suggested for how industry investors can better understand and use market research in the decision to invest in a retirement center.

本文探讨市场研究在投资持续照护退休中心(CCRCs)决策过程中的作用。鉴于人口结构的变化和资金的可得性,正在开发的cccs数量迅速增加。然而,许多这样的中心要么失败了,要么正经历着财政困难。一些业内人士指责,市场研究不力或不充分是导致许多医疗中心未能达到预期的一个因素。本文讨论了投资中心的过程,以及投资决策中不同参与者的动机如何影响市场研究的作用和使用。对于行业投资者如何更好地理解和利用市场研究来决定投资养老中心提出了建议。
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引用次数: 0
The impact of source credibility characteristics on physicians' satisfaction with pharmaceutical salespeople. 来源可信度特征对医师对药品销售人员满意度的影响。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_04
R R Lagace, J L Twible

Pharmaceutical salespeople are important sources of information for physicians about new and existing drugs. This study examines the relative impact of various source characteristics (i.e., expertise, trustworthiness and attractiveness) on physicians' satisfaction with the salesperson as an information source. The results suggest that although perceived expertise and trustworthiness are significant predictors of satisfaction, attractiveness is not. Implications are offered.

医药销售人员是医生关于新药和现有药物的重要信息来源。本研究考察了各种信息源特征(即专业知识、可信度和吸引力)对医生对销售人员作为信息源的满意度的相对影响。结果表明,虽然感知专业知识和可信度是满意度的重要预测因素,但吸引力不是。本文给出了一些启示。
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引用次数: 4
Reference price: a tool for pricing new healthcare services. 参考价格:为新的医疗保健服务定价的工具。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_09
R Kosenko, D J Hill, R Baer

The convergent validity and scale reliability of three measures of Reference Price (R-Price) were assessed for a "new" healthcare service using an adult sample. The Pearson correlation, Cronbach's alpha and Factor analysis results indicate that the multiple scale R-Price measure exhibits both reliability and convergent validity. As a result, the R-price scale could be used as an additional input for estimating demand of a healthcare service at a given price. The paper also draws some managerial implications for healthcare professionals.

使用成人样本评估“新”医疗保健服务的三个参考价格(R-Price)测量的收敛效度和量表信度。Pearson相关、Cronbach’s alpha和Factor分析结果表明,多尺度R-Price测量具有信度和收敛效度。因此,R-price量表可以用作估算给定价格下医疗保健服务需求的额外输入。本文还为医疗保健专业人员提供了一些管理启示。
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引用次数: 0
An exploration into elderly consumers' responses to direct marketing appeals of health care. 老年消费者对保健品直销诉求的反应探讨。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_13
D R Rahtz, H L Meadow
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引用次数: 0
Mammography screening services: market segments and messages. 乳房x光检查服务:细分市场和信息。
Pub Date : 1991-01-01 DOI: 10.1300/J273v04n02_01
D L Scammon, J A Smith, T Beard

Mammography has become a vital tool for the early detection of breast cancer. Although many organizations and health care facilities are working to educate and motivate women to take advantage of the life saving opportunity that is offered through screening mammography, only twenty percent of women who should be screened actually have the procedure performed. In order to reach women who have not been screened, it is important to learn which factors most strongly motivate those women who do choose to have a mammogram. Depth interviews with 18 women attending a mobile mammography unit were conducted to explore the decision making process of women obtaining mammography screening services and to develop a profile of prevalent emotions, attitudes, and feelings associated with receiving breast cancer screening services. Analysis of the interview transcripts revealed several important themes to which health care professionals can direct marketing and health promotion strategies.

乳房x光检查已成为早期发现乳腺癌的重要工具。尽管许多组织和卫生保健机构正在努力教育和激励妇女利用乳房x光检查提供的挽救生命的机会,但实际上只有20%应该接受检查的妇女进行了检查。为了帮助那些没有接受过乳房x光检查的女性,了解哪些因素最能激励那些选择做乳房x光检查的女性是很重要的。对18名参加移动乳房x光检查的妇女进行了深度访谈,以探讨妇女获得乳房x光检查服务的决策过程,并形成与接受乳腺癌筛查服务相关的普遍情绪、态度和感受的概况。对访谈记录的分析揭示了卫生保健专业人员可以指导营销和健康促进战略的几个重要主题。
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引用次数: 5
期刊
Journal of ambulatory care marketing
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